Permit (46) I a,
CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
',. COMMUNITY DEVELOPMENT Permit#: ELR2018 00076
13125 SW Hall Blvd.,Ti Date Issued: 05/14/2018
T I C� 0 Et.:f_7 and OR 97223 503.718.2439 9
Parcel: 2S114AA00100
Jurisdiction: Tigard
Site address: 9000 SW DURHAM RD
Project: Tigard High School Subdivision: None Lot: None
Project Description: Install proper smoke detection and individual relays for fire/smoke roll down doors.
Contractor: PERFORMANCE SYSTEMS INTEGRATION LLC Owner: TIGARD-TUALATIN SCHOOL DISTRICT
7324 SW DURHAM RD 6960 SW SANDBURG ST
PORTLAND, OR 97224 TIGARD, OR 97223
PHONE: 503-641-2222 PHONE:
FAX:
FEES
Description Date Amount
Specifics: Restricted Energy Permit 05/14/2018 $75.00
12%State Surcharge-Electrical 05/14/2018 $9.00
Type of Use: COM
Class of Work: ALT
Total Number of Systems: 1
Audio&Stereo: 0 Boiler Controls: 0
CCTV: 0 Clock Systems: 0
Data&Telecommunications: 0 Fire Alarm: 1
HVAC: 0 Instrumentation: 0
Intercom/Paging: 0 Landscape/Irrigation: 0
Landscape Lighting: 0 Medical: 0
Nurse Calls: 0 Protective Signal: 0
Security Alarm: 0 Other: 0 Total $84.00
Other Desc:
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules set forth in OAR
952-001-0010 through OAR'52-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.
v
Issued By: 1 , p Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE: Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
4 '
Electrical Permit Application
RECEIY FOR OFFICE I SE oNl.\
City ofTigard Received u 6z ` -_470o 7�
� 1 nn DateBy:��/ �CJ Permit
II 'I 13125 SW Hall Blvd.,Tigard,OR 97223 MAY 4 Z018 1 Plan Review
i a' Phone: 503.718.2439 Fax: 503.598.1960 Related Permit#:
�� Date/By:
T'I GAR D Inspection Line: 503.639.4175 CITY OF TJG A eady DateBy: .runs: lel See Page 2 for
Internet: www.tigard-or.gov tiotified/Method: Supplemental Information
rLA"a„ff."?','u+f, ;,'`,. �";"/ + 8 ,.s,151! .' ,+/,d , ,,,�'fi,,, '.f �, ' . 'PM ;„� l''�'y, s., f
.. P.. s✓`:?� �:-„-R,.,.,:,.._�..r.Y.�. ,s.-s�2.�rs:r ,�.rv3va. au�k�. u�ro -
❑New construction ®Addition/alteration/replacement Please check all that apply(submit 2 sets of plans w/items checked):
El Demolition 0 Service or feeder 400 amps or more 0 Building over three stories.
❑Other: where the available fault current
0 Marinas and boatyards.
M° ^`, ' tt 1 ` ' 1 ° 1 to t %r ” . ,s;f 7 exceeds 10,000 amps at 150 volts or
� t% ,,ice' ��,,..,% 0 Floating buildings.
❑ 1-and 2-family dwelling 0 Commercial/industrial ❑Accessory building less to ground,or exceeds 14,000 0 Commercial-use agricultural
amps for all other installations. buildings.
❑Multi-family ❑Master builder ®Other:E
0 Fire pump. 0 Installation of 150 KVA or
r, , :7" # ' t t 1 t et ❑AEmddeenncoyf nYeswtemmo.tor load of larger separately
derived
system.
Job#: 108350 Job site address:9000 SW Durham Rd 100HP or more. ❑"A","E","1-2","t-3",
City/State/ZIP:Tigard,Or 97224 0 Six or more residential units. occupancy.
❑Health-care facilities. 0 Recreational vehicle parks.
Suite/bldg./apt.#: I Project name:Tigard HS roll doors ['Hazardous locations. 0 Supply voltage for more than
❑Service or feeder 600 amps or more. 600 volts nominal.
Cross street/directions to job site: E t ,�,c"1
f ` :!tits I r �i ,, s f r
Description Qty. I 'Each I Total Y
New residential single-or multi-family dwelling unit.
Subdivision: , Lot#: Includes attached garage.
Tax map/parcel#:
1,000 sq.ft.or less 168.54 4
" Ea.add'l 500 sq.ft.or portion 33.92 1
,F.,. .. , srF t+ � t I; i' 1s,, lE,e ; f %V'V e �r�r}r �,,�t%:r,3 f : Limited energy,residential
�s�a- �,, 75.00 2
Install proper smoke detection and individual relays for fire/smoke roll down (with above sq.ft.)
Limited energy,multi-family 75.00 2
doors. residential(with above sq.ft.)
pRenewable Energy 0 See Page 2 1„i2 fy > » rg ' f„ x
Services or feeders installation,alteration,and/or relocation
Name:Tigard Tualatin School District 200 amps or less 100.70 2
Address:6960 SW Sandberg Rd 201 amps to 400 amps 133.56 2
401 amps to 600 amps 200.34 2
City/State/ZIP:Tigard,Or 97223 601 amps to 1,000 amps 301.04 2
Phone:( ) I Fax:( ) Over 1,000 amps or volts 552.26 2
Temporary services or feeders installation,alteration,and/or
Email: relocation
Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 1
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2
Owner signature: Date: 401 amps to 599 amps 168.54 2
✓KAi '; sr ; ,%r gid :} f0i1 r a, t ;,r Branch circuits—c new,alteration,or extension,per panel
A.Fee for branch circuits with
Business name:Performance System Integration LLC above service or feeder fee, 7 42 2
each branch circuit
Contact name:Bill Driver B.Fee for branch circuits without
Address:7324 SW Durham Rd service or feeder fee,first 56.18 2
branch circuit
City/State/ZIP:Portland,Or 97224 Each add'l branch circuit 7.42 2
Miscellaneous(service or feeder not included)
Phone:(503)641-2222 I Fax: :( ) Each manufactured or modular
dwelling,service and/or feeder 67.84 2
Email:bill@psintegrated.com Reconnect only 67.84 2
Pry rJr”f, f.` t 1 ,�; ✓r ` 1 FMNff ; '��'%` ; .i.
,.r rr f a ,...:. Q , r; Pump or irrigation circle 67.84 2
Business name:Performance System Integration LLC Sign or outline lighting 67.84 2
Signal circuit(s)or limited-energy
Address: S;4 fl�r— r 6panel,alteration,or extension. El See Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Additional inspection(1 hr min) 66.25/hr
Phone:( ) Fax:( ) Investigation(1 hr min) 90.00/hr
Email: Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
90.00/hr
CCB Lic.: 205924 Electrical Lic.: CLE407 Suprv.Lic.: 3172LEA „specifically listed Y.hr mm?
P1hkei:,:t,„.. i2iTL 1.1 ° 112111,g
Suprv.Electrician signature,required: /e*i a_. Subtotal: ,,5
Print name: Bill Driver I Date: 5-14-18 0 Plan Review Required(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: TOTAL PERMIT FEE: J.
%07)
"4"/
This permit application expires if a permit is not obtained within 180
Print name: f�/ , ris, Date:57 ,/�y days after it has been accepted as complete.
* Number of inspections allowed per permit.
C\Building'Permits\ELC_PermitAppELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB
a
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
s �,,'f Fes Ns. ,' r"fF?
�� °*� .. ..:o!< � > � "� r !8
!i `�,+
°: ✓ ,, ,,,,, ,,,,,, :>�,. . ..,..,. .,.., .r. ..,„ :, ,r:;.4,,, ,F, ,:,,;? Description Qty. Each Total
Fee for all residential systems combined: $75.00 Renewable electrical energy systems:
Check Type of Work Involved: 5 kva or less 100.70 2
5.01 to 15 kva 133.56 2
❑ Audio and Stereo Systems* 15.01 to 25 kva 200.34 2
Wind generation systems in excess of 25 kva:
❑ Burglar Alarm 25.01 to 50 kva 301.04 2
50.01 to 100 kva 552.26 2
❑ Garage Door Opener* >100 kva(fee in accordance
with OAR 918-309-0040) 552.26 2
❑ Heating,Ventilation and Air Conditioning Solar generation systems in excess of 25 kva:
System*
Each additional kva over 25 7.42 3
El Vacuum Systems* >100 kva no additional charge 0.0 3
Each additional inspection over allowable in any of the above:
❑ Other: Each additional inspection is 66.25/hr 1
charged at an hourly(1 hr min)
Inspections for which no fee is 90.00/hr
r s cficarylisted(%hr
Ff rfar mm)
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Subtotal(Enter on Page 1):
Fee for each commercial system: $75.00
* Number of inspections allowed per permit.
(SEE OAR 918-309-0000)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
• Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other:
Total number of commercial systems:
*No licenses are required. Licenses are required for all
other installations
I:\Building\Permits\ELC_PermitApp_ELR_ERE.doc Rev 06/17/2015
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
Location: Inspection Date:
9000 SW DURHAM RD, TIGARD, OR, 97224
Record Type: Record ID:
Commercial - Electrical Limited Energy ELR2018-00076
Inspection Type: Inspector:
198 Low voltage final Jeff Grove
Result:
PASS - NoCofO
Comments:
Violation Summary:
Inspector Contractor